MEDICARE: MRS. HANNAH SUE EILEEN URRUTIA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	374J00000X	Doula

General Provider Information

NPI Number	:	1245198191
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. HANNAH SUE EILEEN URRUTIA

Provider Business Mailing Address
First Line	:	1514 SEDONA GLN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92027-1076
Country	:	US
Telephone Number	:	760-297-0881
Fax Number	:

Provider Business Practice Location Address
First Line	:	1514 SEDONA GLN
Second Line	:
City	:	ESCONDIDO
State	:	CA
Zip	:	92027-1076
Country	:	US
Telephone Number	:	760-297-0881
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/12/2026
Last Update Date	:	01/12/2026

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